Provider Demographics
NPI:1952140360
Name:OMAJ PARTNERS LLC (DBA OMAJ CLINIC FOR MUSCLE THERAPY)
Entity type:Organization
Organization Name:OMAJ PARTNERS LLC (DBA OMAJ CLINIC FOR MUSCLE THERAPY)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:GUILLORY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-778-4465
Mailing Address - Street 1:92-1498 ALIINUI DR APT 4
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-4298
Mailing Address - Country:US
Mailing Address - Phone:808-778-4465
Mailing Address - Fax:
Practice Address - Street 1:1210 ARTESIAN ST STE 102
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-1320
Practice Address - Country:US
Practice Address - Phone:808-979-6553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-23
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172M00000XOther Service ProvidersMechanotherapistGroup - Single Specialty